Individual provider Active NPI

Allison Acker Bissot, O.D.

  • Optometrist
  • Jackson, MI
National Provider Identifier
1093705295
Registry record updated Jan 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004306 Issued in MI
Practice address
1015 Laurence Ave
Jackson, MI 49202-2964
Phone
(517) 787-0364
Fax
(517) 787-2272
NPI assigned
Oct 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004306 MI Primary

Addresses

Primary practice location

1015 Laurence Ave
Jackson, MI 49202-2964

Mailing address

1015 Laurence Ave
Jackson, MI 49202-2964
Phone (517) 787-0364

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050915000646 MI Practitioner - Optometry 5294768651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Center for Sight PCGroup PAC ID 6507899952, 5 clinicians

Practice addresses (Care Compare)

1015 Laurence Ave
Jackson, MI 49202-2964
Phone (517) 787-0364

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901004306MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Sight, P.C. Optometrist CurrentSince Jul 1, 2005 Accepting new patients
The Center for Sight P.C. Optometrist CurrentSince Jul 1, 2005 Accepting new patients

Locations

1015 Laurence Ave
Jackson, MI 49202
Phone (517) 787-0364

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262563200000",
    "number": "1093705295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 LAURENCE AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492022964",
            "telephone_number": "517-787-0364",
            "fax_number": "517-787-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 LAURENCE AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492022964",
            "telephone_number": "517-787-0364",
            "fax_number": "517-787-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISSOT",
        "first_name": "ALLISON",
        "middle_name": "ACKER",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-27",
        "last_updated": "2010-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.